Abstract:
OBJECTIVE:The objective of the present study was to compare the role of single photon emission computed tomography (SPECT), computed tomography (CT) and SPECT-CT of selected volume in lung cancer patients with indeterminate lesions on planar bone scintigraphy (BS). METHODS:The data of 50 lung cancer patients (53 ± 10.3 years; range 30-75; male/female 38/12) with 65 indeterminate lesions on planar BS (January 2010 to November 2010) were retrospectively evaluated. All of them underwent SPECT-CT of a selected volume. SPECT, CT and SPECT-CT images were independently evaluated by two experienced readers (experience in musculoskeletal imaging, including CT: 5 and 7 years) in separate sessions. A scoring scale of 1 to 5 was used, in which 1 is definitely metastatic, 2 is probably metastatic, 3 is indeterminate, 4 is probably benign and 5 is definitely benign. Sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) were calculated for each modality, taking a score ≤2 as metastatic. With receiver operating characteristic (ROC) curve analysis, areas under the curve (AUC) were calculated for each modality and compared. Clinical and imaging follow-up and/or histopathology were taken as reference standard. RESULTS:For both readers SPECT was inferior to CT (P = 0.004, P = 0.022) and SPECT-CT (P = 0.003, P = 0.037). However, no significant difference was found between CT and SPECT-CT for reader 1 (P = 0.847) and reader 2 (P = 0.592). The findings were similar for lytic as well as sclerotic lesions. Moderate inter-observer agreement was seen for SPECT images (к = 0.426), while almost perfect agreement was seen for CT (к = 0.834) and SPECT-CT (к = 0.971). CONCLUSION:CT alone and SPECT-CT are better than SPECT for accurate characterisation of indeterminate lesions on planar BS in lung cancer patients. CT alone is not inferior to SPECT-CT for this purpose and might be preferred because of shorter acquisition time and wider availability.
journal_name
Skeletal Radioljournal_title
Skeletal radiologyauthors
Sharma P,Kumar R,Singh H,Bal C,Julka PK,Thulkar S,Malhotra Adoi
10.1007/s00256-011-1304-2subject
Has Abstractpub_date
2012-07-01 00:00:00pages
843-50issue
7eissn
0364-2348issn
1432-2161journal_volume
41pub_type
杂志文章abstract:: ...
journal_title:Skeletal radiology
pub_type:
doi:10.1007/s00256-017-2691-9
更新日期:2017-09-01 00:00:00
abstract::A case of sclerosing epithelioid fibrosarcoma and its appearance on MRI is presented. The tumor showed a zonal architecture on MRI with a large central core of very low signal intensity and a peripheral rim of intermediate to high signal intensity on T1- and T2-weighted spin echo pulse sequences. The core showed decre...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s002560050297
更新日期:1997-10-01 00:00:00
abstract::Fourteen artificial limbs in eight adult patients with below the knee amputations were evaluated for prosthetic fit by several radiological parameters. The best objective means of evaluation of prosthetic adequacy is piston action. ...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00401811
更新日期:1988-01-01 00:00:00
abstract::A 50-year-old man presented with a non-traumatic painful swelling over the medial clavicle. Radiographs showed a poorly defined fracture and the possibility of an underlying pathology was raised. Computed tomography suggested a stress fracture. This prompted a further, more detailed occupational history to be obtained...
journal_title:Skeletal radiology
pub_type: 杂志文章,评审
doi:10.1007/s002560000224
更新日期:2000-07-01 00:00:00
abstract::Late skeletal complications of meningococcal septicaemia and disseminated intravascular coagulation are well recognised in children and are largely centred on the growing epimetaphyseal region of long bones. In this article we describe a case of pseudarthrosis of the mid-ulna presenting 18 months following a devastati...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-004-0747-0
更新日期:2004-05-01 00:00:00
abstract:OBJECTIVE:In order to clarify the increased 2-deoxy-2-fluoro-(18)F-D: -glucopyranose ((18)F-FDG) accumulation in schwannoma by positron emission tomography (PET) analysis, immunohistochemical analysis for the factors involved in glucose transportation and vascular formation was performed. MATERIALS AND METHODS:Twenty-...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-008-0612-7
更新日期:2009-03-01 00:00:00
abstract::We report the case of a 67-year-old male with bilateral proximal tibiofibular synostosis, presenting with unilateral symptoms. The patient complained of pain around the left fibular head, which was attributed to incomplete bone bridging between the proximal tibia and fibula; he underwent proximal fibular head resectio...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-014-1932-4
更新日期:2014-12-01 00:00:00
abstract:OBJECTIVE:Conventional MR sequences are sometimes nonspecific in differentiating benign from pathologic fractures. To address this difficulty, diffusion-weighted images were conjectured to aid in this discrimination with variable results. As each of these studies contained somewhat small numbers of patients, we perform...
journal_title:Skeletal radiology
pub_type: 杂志文章,meta分析
doi:10.1007/s00256-008-0503-y
更新日期:2008-09-01 00:00:00
abstract::A case of an intraarticular epithelioid sarcoma is presented. The patient was a 35 year old man who presented with a 10 months history of a chronic monoarthritis. The MRI showed a diffuse lesion involving the synovial membrane of the knee. There was a marked increased signal on T2 weighted images. Most epithelioid sar...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s002560050417
更新日期:1998-08-01 00:00:00
abstract::Diagnostic imaging is pivotal in the initial detection, characterization, staging and post-treatment follow-up of patients with high-grade osteogenic and Ewing's sarcoma. In the present review article, conventional and new imaging modalities are discussed with regard to the monitoring of the effect of neoadjuvant chem...
journal_title:Skeletal radiology
pub_type: 杂志文章,评审
doi:10.1007/s002560050339
更新日期:1998-02-01 00:00:00
abstract:OBJECTIVE:To develop and validate a deep convolutional neural network (CNN) method capable of (1) selecting a specific shoulder sagittal MR image (Y-view) and (2) automatically segmenting rotator cuff (RC) muscles on a Y-view. We hypothesized a CNN approach can accurately perform both tasks compared with manual referen...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-020-03599-2
更新日期:2020-09-16 00:00:00
abstract:OBJECTIVE:We investigated the usefulness of plain film and MR findings in predicting the outcome of conservatively treated patients with femoral osteochondritis dissecans. DESIGN:Without knowledge of the clinical outcome, we retrospectively reviewed the initial plain films and MR examinations. Each MR examination was ...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s002560050267
更新日期:1997-08-01 00:00:00
abstract::Gorham-Stout disease (also known as "disappearing bone disease") was first described by Jackson in 1838, but was properly defined by Gorham and Stout in a series of 24 patients in 1954-1955. It is a rare disease of unknown etiology (about 200 cases reported in the literature) characterized by spontaneous progressive r...
journal_title:Skeletal radiology
pub_type: 杂志文章,评审
doi:10.1007/s00256-010-1051-9
更新日期:2011-11-01 00:00:00
abstract:OBJECTIVE:To describe the CT and MR imaging appearance of both osseous and extraosseous manifestations of melorheostosis. DESIGN AND PATIENTS:We retrospectively reviewed the CT (n=7) and/or MR imaging findings (n=12) of 17 patients with characteristic radiographic findings of melorheostosis (undulating cortical hypero...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s002560100366
更新日期:2001-08-01 00:00:00
abstract::Primary rhabdomyosarcoma of the bone is an extremely rare condition with few examples reported in the literature. We present the case of a 34-year-old male who presented with a lesion in the distal femur with initial imaging features consistent with Ewing sarcoma. Histologically, the lesion consisted of atypical pleom...
journal_title:Skeletal radiology
pub_type: 杂志文章,评审
doi:10.1007/s00256-016-2430-7
更新日期:2016-10-01 00:00:00
abstract::Soft tissue sarcomas (STS) are rare. Affected patients are at increased risk of developing a second primary malignancy, particularly another primary STS. These rarely affect the extremities, tending to occur in the abdomen, head or neck. We describe a patient with myxofibrosarcoma of the buttock who developed a second...
journal_title:Skeletal radiology
pub_type: 杂志文章,评审
doi:10.1007/s00256-011-1123-5
更新日期:2011-08-01 00:00:00
abstract:OBJECTIVE:To establish a high-resolution US technique that enables a systematic morphometric examination of the three components that form the distal biceps brachii tendinous complex; the internal bicipital aponeurosis, the distal biceps brachii tendon and the external bicipital aponeurosis (also known as lacertus fibr...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-018-3043-0
更新日期:2019-03-01 00:00:00
abstract::The 23rd Annual Scientific Meeting of the European Society of Musculoskeletal Radiology (ESSR) 2016 in Switzerland, Zurich will be summarized. ...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-017-2568-y
更新日期:2017-04-01 00:00:00
abstract::Osteosarcoma is the commonest primary malignant bone tumour in children and adolescents, the majority of cases being conventional intra-medullary high-grade tumours affecting the appendicular skeleton. Treatment is typically with a combination of neo-adjuvant chemotherapy, tumour resection with limb reconstruction and...
journal_title:Skeletal radiology
pub_type: 杂志文章,评审
doi:10.1007/s00256-018-3079-1
更新日期:2019-04-01 00:00:00
abstract:OBJECTIVE:Although the normal adult human intervertebral disc is considered to be avascular, vascularised cellular fibrous tissue can be found in pathological conditions involving the disc such as disc herniation. Whether lymphatics vessels form a component of this reparative tissue is not known as the presence or abse...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-009-0770-2
更新日期:2009-12-01 00:00:00
abstract::Synovial chondromatosis (SC) is a benign proliferative process of synovial tissue creating multiple cartilaginous nodules in joints. It most commonly occurs in the large joints of the knee, hip, and shoulder, uncommonly in the small joints of the hand and foot, and only rarely in the tenosynovial membrane of tendon sh...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-013-1672-x
更新日期:2013-12-01 00:00:00
abstract::Post menopausal osteoporotic fractures are a major public health concern worldwide with oral bisphosphonates favored for their prevention and treatment. Recent interest has centered on clinically observed, unusually sited femoral diaphyseal fractures, particularly attributed to alendronate. Their imaging presentations...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-011-1130-6
更新日期:2012-01-01 00:00:00
abstract:OBJECTIVES:The aim of this ex vivo study was to assess the performance of monoenergetic dual-energy CT (DECT) reconstructions to reduce metal artefacts in bodies with orthopedic devices in comparison with standard single-energy CT (SECT) examinations in forensic imaging. Forensic and clinical impacts of this study are ...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-015-2155-z
更新日期:2015-09-01 00:00:00
abstract:OBJECTIVE:The purpose of the study was to determine if the thickness of the subacromial-subdeltoid (SASD) bursa during dynamic ultrasound and on static views differs between patients with shoulder impingement syndrome and healthy volunteers. MATERIALS AND METHODS:Twenty-two patients with a clinical diagnosis of should...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-011-1295-z
更新日期:2012-09-01 00:00:00
abstract:OBJECTIVE:To describe the magnetic resonance appearance of posterosuperior labral peel back and determine the reliability of MR in the abducted and externally rotated (ABER) position for the prospective diagnosis of arthroscopically proven cases of posterosuperior labral peel back. METHODS:After approval by the instit...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-009-0744-4
更新日期:2010-01-01 00:00:00
abstract::Liposarcoma is a relatively common soft tissue malignancy with a wide spectrum of clinical presentations and imaging appearances. Several subtypes are described, ranging from lesions nearly entirely composed of mature adipose tissue, to tumors with very sparse adipose elements. The imaging appearance of these fatty ma...
journal_title:Skeletal radiology
pub_type: 杂志文章,评审
doi:10.1007/s00256-003-0647-8
更新日期:2003-09-01 00:00:00
abstract::Osteopenic bones in patients on chronic steroid therapy are often difficult to assess for occult fractures. Such patients are also at greater risk for fractures. Technetium 99m bone scan is currently thought to represent the most sensitive method of diagnosing these lesions. We present a case of failure of diagnosis o...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00361089
更新日期:1984-01-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to evaluate the efficacy and complications of CT-guided radiofrequency ablation (RFA) of spinal osteoid osteoma (OO). MATERIALS AND METHODS:Between 2002 and 2012, a total of 61 patients (46 male and 15 female, mean age 26.4 ± 12.7 years) were subjected to RFA for spinal OO. The diag...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-017-2662-1
更新日期:2017-08-01 00:00:00
abstract:OBJECTIVE:To analyse to what extent MR imaging based decisions were correct in determining the surgical procedure in patients with osteosarcoma of the distal femur. DESIGN:We compared the findings on MR imaging that determined the surgical strategy with the actual surgical findings or histopathological specimen. We as...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s002560050302
更新日期:1997-11-01 00:00:00
abstract:OBJECTIVE:The objective of this study was to describe the suprascapular nerve block using CT guidance and to evaluate the short- and medium-term efficacy in a range of shoulder pathologies. DESIGN AND PATIENTS:CT-guided infiltration around the suprascapular nerve was performed with bupivacaine and Celestone Chronodose...
journal_title:Skeletal radiology
pub_type: 临床试验,杂志文章
doi:10.1007/s00256-003-0733-y
更新日期:2004-05-01 00:00:00